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Surgical Technique |

Diced Cartilage Augmentation Early Experience With the Tasman Technique

Shan R. Baker, MD
Arch Facial Plast Surg. 2012;14(6):451-455. doi:10.1001/archfacial.2012.494.
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Numerous methods have been used for dorsal augmentation in reconstructive and aesthetic rhinoplasty. The Tasman technique is a method for dorsal augmentation using diced cartilage solidified by tissue sealant. This article describes the author's early experience using the Tasman technique and offers some helpful suggestions to surgeons who might wish to use this unique method of preparing a cartilaginous graft.

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Figure 1. A 3-mL syringe cut in a taper along the long axis creates a trough that serves as a mold for diced cartilage.

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Figure 2. A, Diced costal cartilage compacted in syringe mold; B, diced costal cartilage graft solidified by tissue sealant.

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Figure 3. Diced cartilage graft is best modified for proper length and width by placing graft on the dorsal surface of the nasal skin rather than attempting to modify the graft once it has been placed beneath skin.

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Figure 4. Same patient shown in Figure 3 before (A) and after (B) dorsal placement of dice cartilage graft.

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Figures 5. Preoperative views (A, C, and E) and 9 months following (B, D, and F) costal cartilage L-strut reconstruction and diced cartilage dorsal graft.

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